Transitory cognitive impairment with brief generalized spike-wave paroxysm: a clinical counterexample to the three-second rule.
The topic of transitory impairment of consciousness with spike wave bursts has been of interest to neurologists for years. Based on some early experiments, a 3-second rule was formulated and has found its way into the conventional wisdom of neurology. It states that, in order to result in impairment of consciousness, a spike-wave burst must be of at least 3 seconds' duration. We discuss a case which poses a clinical counterexample to that rule.
Mendizabal
J E
JE
Electroneurodiagnostic Laboratory, University of South Alabama, Mobile, Alabama 36617, USA.
Nowack
W J
WJ
D000328:Adult; D003071:Cognition; D004569:Electroencephalography; D005260:Female; D006801:Humans; D008607:Intellectual Disability / Q000150:complications; D012640:Seizures / Q000150:complications / Q000503:physiopathology* / Q000523:psychology